经颅眶尖减压治疗眶内炎性假瘤  

Transcranial orbital apex decompression in surgical management of orbital inflammatory pseudotumor

作　　者：邱锷[1] 安裕志[2] 张天明[1] 刘浩成[1] 

机构地区：[1]首都医科大学附属北京同仁医院神经外科,100730 [2]首都医科大学附属北京同仁医院眼科中心,100730

出　　处：《眼科》2006年第6期396-399,共4页Ophthalmology in China

摘　　要：目的探讨经颅眶尖减压术治疗慢性眶尖部炎性假瘤的效果。设计回顾性病例系列。研究对象慢性眶尖部炎性假瘤12例。方法经颅硬膜外入路,行眶壁、眶尖及视神经管骨性减压,结合病灶切除内减压,治疗慢性眶尖部炎性假瘤。主要指标术前、术后眼疼痛、突眼、视力、眼球运动等临床表现。结果12例患者中,10例术后疼痛、突眼明显改善,9例患者视力有不同程度的提高,8例患者眼球运动明显好转。结论经颅眶尖减压术治疗慢性眶尖部炎性假瘤手术入路安全,对缓解疼痛及突眼有显著效果。Objective To investigate the result of transcranial orbital apex decompression treating chronic orbital inflammatory pseudotumor which were inefficacy under integrative therapies. Design Retrospective cases series. Participants 12 cases of chronic orbital apex inflammatory pseudotumor. Methods 12 cases of chronic orbital apex inflammatory pseudotumor were treated by bony decompression of orbital walls, orbital apex and optic nerve cannel, in combination of neoplasm endodecompression through the epidural route. Main Outcome Measures Orbital pain, exophthalmus and eyeball movement, etc. clinical manifests were compared preoperatively and postoperatively. Results In this series of 12 cases, orbital pain and exophthalmus were recovered in evidently in 10 cases, visions were recovered in some degrees in 9 cases. Eyeball movements were recovered evidently in 8 cases. Conclusions The intracranial orbital apex decompression in the surgical management of chronic orbital apex inflammatory pseudotumor was safe and efficienty.

关 键 词：眼眶假瘤/外科学 

分 类 号：R779.6[医药卫生—眼科]